How much rates vary
Facilitymedian $257 · 10th to 90th $78 to $372Professionalmedian $117 · 10th to 90th $91 to $741
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $213.80 | Facility | None | $128.82 | $128.82 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $91.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $31.62 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $120.23 | Professional | TC · Technical part | $64.57 | $81.28 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $72.44 | $72.44 | $112.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $251.19 Typical High $371.54 | Facility | None | $57.54 | $251.19 | $371.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $91.20 | $91.20 | $169.82 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $22.91 | $42.66 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $67.61 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $309.03 Typical High $363.08 | Facility | None | $251.19 | $309.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $95.50 | $102.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $29.51 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $72.44 | $141.25 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $512.86 | Facility | None | $104.71 | $123.03 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $117.49 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $1,548.82 Typical High $1,548.82 | Professional | 26 · Professional part | $30.90 | $1,548.82 | $1,548.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $85.11 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $109.65 | $120.23 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $33.11 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $79.43 | $87.10 | $128.82 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Where Arizona sits
The same service costs 3.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 35th of 51
$120
AK $339TX $87.10
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.